Gary John Gydush, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001513 Issued in PA

Practice address

1158 Park City Ctr
Lancaster, PA 17601-2726

Phone

(717) 393-4042

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John H Broaddus, OD

  • Optometrist
  • Lancaster, PA
  • NPI 1477551133
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164501979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 PARK CITY CTR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012726",
            "telephone_number": "717-393-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 PARK CITY CTR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012726",
            "telephone_number": "717-393-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYDUSH",
        "first_name": "GARY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pankaj Gupta, PA-C
• Karen Gural
• Carla Guthrie
• Fernando A Gutierrez, MD
• David E Guyer, MD
• H.E.a.R., Inc.
• H.S.a. Counseling, Inc.
• H2 Zero LLC
• David Keith Haas
• Sarah Haas, PHD

• Optometrist in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.